Carlos Selema, MD
Gastroenterology · Coral Gables, FLNPI 1366483562
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Phathom Pharmaceuticals, Inc. at 58.3% of the total. 2025 is the largest year on record at $287, 4.8 times the $59 reported in 2020. That places this record below the midpoint for gastroenterology clinicians in FL, where the typical reported total is $3,025.
Across 12 payments — averaging $32.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Phathom Pharmaceuticals, Inc.$226
- Braintree Laboratories, Inc.$51
- Intercept Pharmaceuticals, Inc.$47
- Redhill Biopharma Inc.$37
- Madrigal Pharmaceuticals$25
Across 7 payments — averaging $19,735 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$127K
- AbbVie$11K
What the payments were for
- Food & beverage$387100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | 5 | $226 |
| Braintree Laboratories, Inc. | 2 | $51 |
| Intercept Pharmaceuticals, Inc. | 2 | $47 |
| Redhill Biopharma Inc. | 2 | $37 |
| Madrigal Pharmaceuticals | 1 | $25 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- VOQUEZNA$125
How this compares
$387 in reported general payments places this provider in the 15th percentile of 1,388 gastroenterology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 216 | $37,067 |
| LinzessLinaclotide | 11 | $5,665 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 41 | $2,393 |
| SuprepSodium, Potassium,mag Sulfates | 22 | $1,977 |
| Omeprazole | 286 | $1,714 |
| Cholestyramine LightCholestyramine | 24 | $1,214 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 48 | $1,061 |
| Doxycycline Monohydrate | 20 | $728 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 46 | $655 |
| CholestyramineCholestyramine (With Sugar) | 18 | $653 |
| Dicyclomine Hcl | 47 | $618 |
| Hydrocortisone | 16 | $473 |
| Esomeprazole Magnesium | 42 | $471 |
| Pantoprazole Sodium | 59 | $370 |
| Famotidine | 24 | $326 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Coral Gables
- Samuel GidayOrlando$2M
- Lukasz KwapiszMiami$1.2M
- Jennifer Seminerio-DiehlOrlando$1.1M
- Udayakumar NavaneethanSaint Petersburg$1.1M
- Ronen AraiCoral Springs$1.1M
- Charles SninskyGainesville$983K
- Peter DraganovGainesville$832K
- Arin NewmanMiami Beach$716K
- Joanna LopezMiami$670K
- Jose NietoSebring$573K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.